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MR. JACOB ELIJAH RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6053
(845) 454-8377
Mailing address
PO BOX 8, STAATSBURG, NY 12580-0008
(629) 246-7152

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
014805
NY

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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